| Dalraida Clinic | |
|
4135 Atlanta Hwy Montgomery AL 36109-3022 | |
| (334) 647-1444 | |
| (334) 647-1404 |
| Full Name | Dalraida Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 4135 Atlanta Hwy, Montgomery, Alabama |
| Authorized Official Name and Position | Eugene Romano (OFFICE MANAGER) |
| Authorized Official Contact | 3342074466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dalraida Clinic 4135 Atlanta Hwy Montgomery AL 36109-3022 Ph: (334) 647-1444 | Dalraida Clinic 4135 Atlanta Hwy Montgomery AL 36109-3022 Ph: (334) 647-1444 |
| NPI Number | 1164910543 |
|---|---|
| Provider Enumeration Date | 05/01/2018 |
| Last Update Date | 05/01/2018 |
| Medicare PECOS PAC ID | 8527318351 |
|---|---|
| Medicare Enrollment ID | O20180829000777 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164910543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2018 (Alabama) | Primary |
| Provider Name | Richard Gebhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013434695 PECOS PAC ID: 6406118785 Enrollment ID: I20180327000002 |
| Provider Name | Tammie R Washington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811468945 PECOS PAC ID: 5799027033 Enrollment ID: I20190507000658 |
| Provider Name | Dhwani S Chotalia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669963617 PECOS PAC ID: 9234460809 Enrollment ID: I20191011002117 |
Your Doctor's Office, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8630 Vaughn Rd, Montgomery, AL 36117 Phone: 334-676-4076 Fax: 334-676-4064 | |
Baptist Health Physician Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 470 Taylor Rd Ste 310, Montgomery, AL 36117 Phone: 334-244-4322 Fax: 334-244-4321 | |
Jackson Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine Street, Suite 103, Montgomery, AL 36106 Phone: 334-293-8888 Fax: 334-293-8154 | |
Baptist Health Care Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Brown Springs Rd, Montgomery, AL 36117 Phone: 334-273-4159 Fax: 334-273-4556 | |
Aikam Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2895 Zelda Rd, Montgomery, AL 36106 Phone: 334-245-5969 | |
Stewart H. Tankersley, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 Pine St, Suite 203, Montgomery, AL 36106 Phone: 334-240-2334 | |
Vaughn Urgent Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9540 Wynlakes Pl, Montgomery, AL 36117 Phone: 334-395-9933 Fax: 334-395-9907 |